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General NPI Number Information
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NPI Number | 1255424818
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Entity Type | Organization
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Legal Business Name | PRAIRIE HOME HOSPICE, INC.
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 10/14/2022
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Provider Practice Location Address
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Address Line | 1108 E COLLEGE DR
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City | MARSHALL
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State | MN
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Zip | 56258-1902
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Country | US
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Telephone | 507-337-0080
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Fax | 507-337-0081
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Provider Business Mailing Address
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Address Line | 1108 E COLLEGE DR
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City | MARSHALL
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State | MN
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Zip | 56258-1902
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Country | US
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Telephone | 507-337-0080
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Fax | 507-337-0081
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Authorized Official
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Title or Position | CEO
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Name | SARAH KIRCHNER
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Credential |
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Telephone | 507-337-0080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State | MN
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